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Home
Member Registration
TOS Events
Donations
Executive
Directory
Sponsors
Mission Statement
Photos
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Donation
*
Mandatory fields
*
First name
*
Last name
*
Email
The following optional info will appear in a directory accessible only by TOS members
Cell Phone
Started TOS Membership (Founded in 1990)
Office Name
Office #1 Location
Medical Practice Name
Address Line 1
Address Line 2
City, Province
Postal Code
Phone Number
Fax Number
Company Name
*
2. Company Address
*
2. City
*
2.Province/State
*
2. Postal/ZIP Code
*
2. Contact Name
*
2. Phone Number
*
2. Email
New field
*
Amount ($CAD)
Payment frequency
One-time
Monthly
Quarterly
Semi-annually
Annually
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